| urgent need: Senior Business Analyst - Encounters, Claims & Medicaid || Location: Remote || Duration: 6 months at Remote, Remote, USA |
| Email: [email protected] |
| From: shashmita, VYZE INC [email protected] Reply to: [email protected] Hi, Hope you are doing well please find the requirement below and kindly let me know if you have good consultant for this. Role: Senior Business Analyst - Encounters, Claims & Medicaid Location: Remote Duration: 6 months Visa: GC and USC Job Description: Knowledge of CMS Encounters processing for Medicaid or Medicare EDI Experience - 837I, P, D, 277, 835, 999, TA1, NCPDP Analytical experience on encounters edits Query database SQL server or Oracle Membership or provider knowledge - from Health Plan perspective Facets and/or QNXT experience Through understanding of EDI 837 claims (Institutional, Professional, Dental) HIPAA X12 837. Through understanding of Pharmacy claims (NCPDP and PAH formats). Understand Implementation Guides and their implementation with respective CMS and State Medicaid encounters systems. Understanding of HIPAA X12 response files 999, 277CA , 835 Understanding of Pharmacy responses NCPDP/PAH response formats. Knowledge with TriZetto Core systems QNXT /Facets and QC link will be added advantage Best Regards, Shashmita Sen Das Technical Recruiter, Vyze Inc. (An E-Verified Company), 25179 Methley Plum Place, Aldie, VA 20105 Email: [email protected] Desk:(571)367-1411 www.vyzeinc.com |
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| Fri Nov 04 17:47:00 UTC 2022 |